Implementation matters: program impact pathway analysis of four sectoral nutrition-sensitive interventions in Anambra and Kebbi States, Nigeria
Background: Undernutrition in early childhood can be reduced when large-scale, nutrition-sensitive programs are delivered with adequate dose, reach, fidelity, and recruitment. Objectives: This study (i) investigates the implementation and impact pathways of four nutrition-sensitive programs in Kebb...
| Autores principales: | , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
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Informa UK Limited
2025
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| Acceso en línea: | https://hdl.handle.net/10568/176688 |
| _version_ | 1855523036916088832 |
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| author | Ezekannagha, O. Drimie, S. von Fintel, D. Maziya-Dixon, B. Mbhenyane, X. |
| author_browse | Drimie, S. Ezekannagha, O. Maziya-Dixon, B. Mbhenyane, X. von Fintel, D. |
| author_facet | Ezekannagha, O. Drimie, S. von Fintel, D. Maziya-Dixon, B. Mbhenyane, X. |
| author_sort | Ezekannagha, O. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Background: Undernutrition in early childhood can be reduced when large-scale, nutrition-sensitive programs are delivered with adequate dose, reach, fidelity, and recruitment.
Objectives: This study (i) investigates the implementation and impact pathways of four nutrition-sensitive programs in Kebbi and Anambra states, Nigeria: Early Childhood Development Education (ECCDE), Environmental Sanitation, Skills Acquisition, and Agricultural Transformation Support Program (ATASP-1) and (ii) identifies cross-sector factors that enable or hinder effective dose, reach, fidelity, and recruitment.
Methods: The study employs qualitative methods such as document reviews, in-depth interviews, and site observations to explore the complexity of program delivery and the contextual factors that influence its outcomes.
Results: All four programs showed dose–reach–fidelity–recruitment gaps in varying degrees: irregular training and equipment delayed dose; rural and low-income communities were least reached; weak quality control cut fidelity; and recruitment seldom penetrated remote areas. Barriers across sectors included insufficient infrastructure, shortages of trained personnel, and bureaucratic funding delays. Programs with robust community engagement, active multi-stakeholder collaboration, timely resource flow, and short ‘reviewandadapt’ cycles (ATASP1 in both states; ECCDE in Anambra) overcame many shortfalls, whereas those lacking these features underperformed (Environmental Sanitation in Anambra; Skills Acquisition in Kebbi).
Conclusion: Closing Nigeria’s nutrition-sensitive implementation gap demands a dual response: fix tangible barriers – staffing, infrastructure, and procurement – and institutionalize community-led planning and adaptive management to keep dose–reach–fidelity–recruitment on track. Doing so will improve program reach and quality and accelerate progress against child undernutrition. |
| format | Journal Article |
| id | CGSpace176688 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Informa UK Limited |
| publisherStr | Informa UK Limited |
| record_format | dspace |
| spelling | CGSpace1766882026-01-23T13:45:16Z Implementation matters: program impact pathway analysis of four sectoral nutrition-sensitive interventions in Anambra and Kebbi States, Nigeria Ezekannagha, O. Drimie, S. von Fintel, D. Maziya-Dixon, B. Mbhenyane, X. capacity building community involvement nigeria Background: Undernutrition in early childhood can be reduced when large-scale, nutrition-sensitive programs are delivered with adequate dose, reach, fidelity, and recruitment. Objectives: This study (i) investigates the implementation and impact pathways of four nutrition-sensitive programs in Kebbi and Anambra states, Nigeria: Early Childhood Development Education (ECCDE), Environmental Sanitation, Skills Acquisition, and Agricultural Transformation Support Program (ATASP-1) and (ii) identifies cross-sector factors that enable or hinder effective dose, reach, fidelity, and recruitment. Methods: The study employs qualitative methods such as document reviews, in-depth interviews, and site observations to explore the complexity of program delivery and the contextual factors that influence its outcomes. Results: All four programs showed dose–reach–fidelity–recruitment gaps in varying degrees: irregular training and equipment delayed dose; rural and low-income communities were least reached; weak quality control cut fidelity; and recruitment seldom penetrated remote areas. Barriers across sectors included insufficient infrastructure, shortages of trained personnel, and bureaucratic funding delays. Programs with robust community engagement, active multi-stakeholder collaboration, timely resource flow, and short ‘reviewandadapt’ cycles (ATASP1 in both states; ECCDE in Anambra) overcame many shortfalls, whereas those lacking these features underperformed (Environmental Sanitation in Anambra; Skills Acquisition in Kebbi). Conclusion: Closing Nigeria’s nutrition-sensitive implementation gap demands a dual response: fix tangible barriers – staffing, infrastructure, and procurement – and institutionalize community-led planning and adaptive management to keep dose–reach–fidelity–recruitment on track. Doing so will improve program reach and quality and accelerate progress against child undernutrition. 2025-12-31 2025-09-26T09:24:55Z 2025-09-26T09:24:55Z Journal Article https://hdl.handle.net/10568/176688 en Open Access application/pdf Informa UK Limited Ezekannagha, O., Drimie, S., Von Fintel, D., Maziya-Dixon, B. & Mbhenyane, X. (2025). Implementation matters: program impact pathway analysis of four sectoral nutrition-sensitive interventions in Anambra and Kebbi States, Nigeria. Global Health Action, 18(1): 2519677, 1-14. |
| spellingShingle | capacity building community involvement nigeria Ezekannagha, O. Drimie, S. von Fintel, D. Maziya-Dixon, B. Mbhenyane, X. Implementation matters: program impact pathway analysis of four sectoral nutrition-sensitive interventions in Anambra and Kebbi States, Nigeria |
| title | Implementation matters: program impact pathway analysis of four sectoral nutrition-sensitive interventions in Anambra and Kebbi States, Nigeria |
| title_full | Implementation matters: program impact pathway analysis of four sectoral nutrition-sensitive interventions in Anambra and Kebbi States, Nigeria |
| title_fullStr | Implementation matters: program impact pathway analysis of four sectoral nutrition-sensitive interventions in Anambra and Kebbi States, Nigeria |
| title_full_unstemmed | Implementation matters: program impact pathway analysis of four sectoral nutrition-sensitive interventions in Anambra and Kebbi States, Nigeria |
| title_short | Implementation matters: program impact pathway analysis of four sectoral nutrition-sensitive interventions in Anambra and Kebbi States, Nigeria |
| title_sort | implementation matters program impact pathway analysis of four sectoral nutrition sensitive interventions in anambra and kebbi states nigeria |
| topic | capacity building community involvement nigeria |
| url | https://hdl.handle.net/10568/176688 |
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